[Dysphagia] Botox to assist with mastication/swallowing

[Tara.Moore at chw.edu (Moore, Tara - SJHMC)]

Nope...no Reglan. He has a Baclofen pump and receives this per bolus. Other
than that - Ritalin during the day - no other po (or per PEG) meds. 

Tara C. Moore, MS, CCC-SLP
Speech/Language Pathologist
St. Joseph's Hospital and Medical Center
Outpatient Rehabilitation
114 W. Thomas Rd. 
Phoenix, AZ 85013
(P) 602-406-6494
(F) 602-406-4105
tara.moore at chw.edu


-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com]On
Behalf Of Vikki Stefans
Sent: Sunday, January 21, 2007 6:49 PM
To: Moore, Tara - SJHMC
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] Botox to assist with mastication/swallowing


re the open mouth posture - quick question - is he on Reglan 
(metoclopramide)?

Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
and Arkansas Children's Hospital.  Working Mom of Sarah T. and Michael C.,
and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.

On Thu, 18 Jan 2007, Moore, Tara - SJHMC wrote:

> I have a 22 year-old patient who suffered anoxic brain injury a few years
> ago secondary to cardia arrest. He has had a PEG tube since the accident
and
> has, "a severe-profound oropharyngeal dysphagia characterized by (per MBSS
> 01/23/06), severely decreased initiation (as expected with anoxic brain
> injury), severely decreased mastication with open mouth posture and
anterior
> leakage, inability to move bolus posteriorly, gradual premature spillage
to
> the valleculae, occasional triggering of pharyngeal swallow with minimal
> passage of material, no penetration, mild residue throughout the
pharyngeal
> recessess." He has hx of pneumonia x2 b/w June 2005 and December 2005.
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